ST MARYS HOSPITAL OF ST MARYS COUNTY: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HOSPITAL OF ST MARYS COUNTY (EIN 52-0619006)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-09
- IRS object ID
- 202501299349302880
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-09T13:50:00-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8350 BROAD STREET SUITE 900 | AddressLine1Txt |
| City | MCLEAN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520619006 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS HOSPITAL OF ST MARYS | BusinessNameLine1Txt |
| Business Name Line2 | COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 3014756003 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25500 POINT LOOKOUT ROAD | AddressLine1Txt |
| City | LEONARDTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20650 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOEL BRYAN | PersonNm |
| Person Title | VP/TREASURER/CIO | PersonTitleTxt |
| Phone | 4107726721 | PhoneNum |
| Signature | 2025-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RAYMOND LY | PreparerPersonNm |
| PTIN | P01205643 | PTIN |
| Phone | 7032868000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDSTAR ST MARY'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIMI NOVELLO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25500 POINT LOOKOUT ROAD | AddressLine1Txt |
| City | LEONARDTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20650 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $205,470,714 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYSHOSPITALMD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OMEDSTAR ST. MARY'S HOSPITAL UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1371 | TotalEmployeeCnt |
| Total Volunteers | 29 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,328,531 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,287,582 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $198,722,277 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $197,543,401 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,523 | PYInvestmentIncomeAmt |
| CY Investment Income | $51,439 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,967,238 | PYOtherRevenueAmt |
| CY Other Revenue | $5,427,610 | CYOtherRevenueAmt |
| PY Total Revenue | $206,055,569 | PYTotalRevenueAmt |
| CY Total Revenue | $205,310,032 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $91,133 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $51,038 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $109,189,037 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $93,322,641 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $4,448 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $92,078,421 | PYOtherExpensesAmt |
| CY Other Expenses | $105,398,065 | CYOtherExpensesAmt |
| PY Total Expenses | $201,363,039 | PYTotalExpensesAmt |
| CY Total Expenses | $198,771,744 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,692,530 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,538,288 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $136,029,917 | TotalAssetsBOYAmt |
| Total Assets EOY | $146,335,098 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,730,303 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,601,560 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $113,299,614 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $126,733,538 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S HOSPITAL'S (MEDSTAR ST. MARY'S) MISSION IS TO UPHOLD ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING QUALITY CARE, PATIENT SAFETY AND FISCAL INTEGRITY. MEDSTAR ST. MARY'S IS LOCATED IN LEONARDTOWN, MARYLAND, IN THE SOUTHERN REGION. IN FISCAL YEAR 2024, MSMH HAD 6,901 INPATIENT ADMISSIONS AND 110,600 OUTPATIENT VISITS INCLUDING 42,666 EMERGENCY VISITS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $128,857,689 | ExpenseAmt |
| Grant | $51,038 | GrantAmt |
| Revenue | $187,310,532 | RevenueAmt |
| Desc | SEE SCHEDULE OMEDSTAR ST. MARY'S HOSPITAL'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES FOR COMMUNITIES OF ST. MARY'S COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR ST. MARY'S INCURRED $46.9M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR ST. MARY'S PROVIDES GENERAL, ACUTE CARE SERVICES IN MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPAEDICS, PULMONARY AND CARDIAC REHABILITATION, AND PSYCHIATRY. IT ALSO PROVIDES EMERGENCY DEPARTMENT CARE. ALSO INCLUDED IN OUR RANGE OF SERVICES IS HOSPICE CARE AND A JOINT VENTURE THAT PROVIDES HOME CARE SERVICES WITH 2 OTHER LOCAL HOSPITALS IN ADJACENT COUNTIES. AN OUTPATIENT PAVILION INCLUDES CANCER CARE AND INFUSION SERVICES, AND IMAGING. SERVICES ALSO INCLUDE A CENTER FOR WOUND HEALING.MEDSTAR ST. MARY'S HOSPITAL IS A MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) ACCREDITED PRIMARY STROKE CENTER. IT HAS A CANCER CENTER THAT HAS COMMISSION ON CANCER CERTIFICATION, IS A CERTIFIED BABY FRIENDLY HOSPITAL AND IS A MAGNET FACILITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,511,982 | ExpenseAmt |
| Revenue | $10,232,869 | RevenueAmt |
| Desc | MEDSTAR ST. MARY'S PROVIDED $18.5M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2024. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE EMERGENCY MEDICINE, WOMEN'S AND CHILDREN'S HEALTH, AND BEHAVIORAL HEALTH. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,452,862 | ExpenseAmt |
| Desc | MEDSTAR ST. MARY'S PROVIDED $4.5M IN CHARITY CARE SERVICES IN FISCAL YEAR 2024. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MEDSTAR ST. MARY'S CHARITY CARE EXPENSE. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $151,822,533 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1371 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOEL BRYAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4107726721 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10980 GRANTCHESTER WAY | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JENNIFER L BLAKE | |||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BONNIE BOWES | |||||||||
| DIRECTOR (UNTIL 12/2023) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GLEN IVES | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SONYA POLLACK | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNA CHOI MD | |||||||||
| DIRECTOR (UNTIL 10/2023) | 40.00 | 0.00 | Yes (X) | $531,695 | $0 | $27,395 | |||
| KAREN T GARNER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HARVEY MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $632,677 | $0 | $32,190 | |||
| JAMES DAMALOUJI MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $403,708 | $0 | $25,473 | |||
| TARA SAGGAR MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $476,598 | $0 | $32,730 | |||
| KENNETH A SAMET | |||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $7,083,748 | $106,087 | |||
| STEPHEN A SCHMEISER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| YAHIA TAGOURI MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $529,318 | $0 | $29,971 | |||
| VINCE WHITTLES | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MIMI NOVELLO MD | |||||||||
| PRESIDENT/DIRECTOR | 40.00 | 0.00 | Yes (X) | Yes (X) | $955,238 | $0 | $11,521 | ||
| KATHERINE KOCH | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNE BANFIELD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $708,957 | $0 | $9,362 | |||
| MICHAEL MEISEL | |||||||||
| CFO/TREASURER (UNTIL 08/2023) | 1.00 | 39.00 | Yes (X) | $0 | $413,879 | $30,252 | |||
| ANNETTE BRONER | |||||||||
| SECRETARY | 1.00 | 39.00 | Yes (X) | $0 | $297,348 | $31,248 | |||
| PURVI JANI | |||||||||
| CFO/TREASURER | 1.00 | 39.00 | Yes (X) | $0 | $320,315 | $18,969 | |||
| JOHN GREELY | |||||||||
| VP OF OPERATIONS | 40.00 | 0.00 | $288,554 | $0 | $31,483 | Yes (X) | |||
| DAWN YEITRAKIS | |||||||||
| CNO | 40.00 | 0.00 | $287,305 | $0 | $19,517 | Yes (X) | |||
| HEATHER SWAN-JONES | |||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $240,575 | $0 | $24,776 | Yes (X) | |||
| MARY IBEGBU | |||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0.00 | $226,616 | $0 | $23,700 | Yes (X) | |||
| LORI WERRELL | |||||||||
| AVP, CARE TRANSFORMATION | 40.00 | 0.00 | $222,644 | $0 | $7,520 | Yes (X) | |||
| DAVID HAVRILLLA | |||||||||
| FORMER CFO | 0.00 | 40.00 | $0 | $424,997 | $27,650 | Yes (X) | |||
| DANIEL FEELEY | |||||||||
| FORMER CFO | 0.00 | 40.00 | $0 | $354,417 | $32,365 | Yes (X) | |||
| ROBERT LALLY | |||||||||
| FORMER CFO | 0.00 | 40.00 | $0 | $213,730 | $0 | Yes (X) | |||
| STEPHEN MICHAELS MD | |||||||||
| FORMER SECRETARY | 0.00 | 40.00 | $0 | $1,030,317 | $28,508 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,503,885 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,138,751 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $550,717 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 155 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTHCARE INC | |||||
| PO BOX 123519 DEPT 3519 | DALLAS | TX | 753123519 | STAFFING SERVICES | $2,798,518 |
| AMN HEALTHCARE INC | |||||
| 2735 COLLECTION CENTER DR | CHICAGO | IL | 60693 | STAFFING SERVICES | $2,168,634 |
| MEDICAL SOLUTIONS LLC | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | STAFFING SERVICES | $2,098,507 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 606731285 | MEDICAL SERVICES | $913,218 |
| FRESENIUS MEDICAL CARE | |||||
| 16343 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | MEDICAL SERVICES | $729,430 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $60,115 | FundraisingAmt |
| Government Grants | $1,466,125 | GovernmentGrantsAmt |
| All Other Contributions | $761,342 | AllOtherContributionsAmt |
| Noncash Contributions | $28,076 | NoncashContributionsAmt |
| Total Contributions | $2,287,582 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | $197,564,358 | $197,564,358 |
| OTHER HEALTH REVENUE | 621400 | $18,402 | $18,402 |
| PHARMACY REVENUE | 621400 | -$39,359 | -$39,359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $197,543,401 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,428 | TotalRevenueColumnAmt |
| Exclusion | $49,428 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $417,272 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $417,272 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $417,272 | TotalRevenueColumnAmt |
| Exclusion | $417,272 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $228 | SecuritiesAmt |
| Other | $1,783 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $228 | SecuritiesAmt |
| Other | $1,783 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,011 | TotalRevenueColumnAmt |
| Exclusion | $2,011 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $343,627 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $60,115 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $160,682 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,945 | TotalRevenueColumnAmt |
| Exclusion | $182,945 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EQUITY IN SUBSIDIARIES | 900099 | $1,834,669 | $1,834,669 |
| REBATE INCOME | 900099 | $377,222 | $377,222 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,615,502 | TotalRevenueColumnAmt |
| Exclusion | $2,615,502 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,827,393 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $205,310,032 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $197,543,401 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,479,049 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,038 | TotalAmt |
| Program Services | $51,038 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,406,834 | TotalAmt |
| Program Services | $3,912,763 | ProgramServicesAmt |
| Management And General | $494,071 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,737,746 | TotalAmt |
| Program Services | $65,530,030 | ProgramServicesAmt |
| Management And General | $8,207,716 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,174,631 | TotalAmt |
| Program Services | $1,030,998 | ProgramServicesAmt |
| Management And General | $143,633 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,647,975 | TotalAmt |
| Program Services | $7,503,428 | ProgramServicesAmt |
| Management And General | $1,144,547 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,355,455 | TotalAmt |
| Program Services | $4,715,862 | ProgramServicesAmt |
| Management And General | $639,593 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,217,425 | TotalAmt |
| Management And General | $21,217,425 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,100,301 | TotalAmt |
| Program Services | $19,067,865 | ProgramServicesAmt |
| Management And General | $3,032,436 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,910 | TotalAmt |
| Program Services | -$2,491 | ProgramServicesAmt |
| Management And General | $246,401 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,087,160 | TotalAmt |
| Program Services | $969,118 | ProgramServicesAmt |
| Management And General | $118,042 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,530 | TotalAmt |
| Program Services | $593,626 | ProgramServicesAmt |
| Management And General | $120,904 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,216 | TotalAmt |
| Program Services | $186,964 | ProgramServicesAmt |
| Management And General | $2,252 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,590 | TotalAmt |
| Program Services | $34,840 | ProgramServicesAmt |
| Management And General | $750 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,257 | TotalAmt |
| Management And General | $590,257 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,905,950 | TotalAmt |
| Program Services | $4,301,305 | ProgramServicesAmt |
| Management And General | $6,604,645 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,139,436 | TotalAmt |
| Program Services | -$55,204 | ProgramServicesAmt |
| Management And General | $2,194,640 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED/SURG SUPPLIES | $28,143,040 | $28,213,918 | -$70,878 |
| IMPLANTS/PROSTHESES | $4,675,407 | $4,675,407 | |
| MAINTENANCE | $4,601,469 | $4,466,257 | $135,212 |
| UTILITIES | $2,729,196 | $2,499,049 | $230,147 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,025,178 | TotalAmt |
| Program Services | $4,127,760 | ProgramServicesAmt |
| Management And General | $1,897,418 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,771,744 | TotalAmt |
| Program Services | $151,822,533 | ProgramServicesAmt |
| Management And General | $46,949,211 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,559 | BOYAmt |
| EOY | $704,235 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,781 | BOYAmt |
| EOY | $388,933 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,408,366 | BOYAmt |
| EOY | $24,406,748 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,885,637 | BOYAmt |
| EOY | $4,291,334 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,590,221 | BOYAmt |
| EOY | $21,425,783 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $163,672,208 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $88,320,727 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,760,367 | BOYAmt |
| EOY | $75,351,481 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,460,318 | BOYAmt |
| EOY | $813,755 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,449,566 | BOYAmt |
| EOY | $11,284,235 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,460,102 | BOYAmt |
| EOY | $7,668,594 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,029,917 | BOYAmt |
| EOY | $146,335,098 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,851,151 | BOYAmt |
| EOY | $10,916,645 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,661 | BOYAmt |
| EOY | $214,226 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,670,491 | BOYAmt |
| EOY | $8,470,689 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,730,303 | BOYAmt |
| EOY | $19,601,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,840,813 | BOYAmt |
| EOY | $124,839,415 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,458,801 | BOYAmt |
| EOY | $1,894,123 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,299,614 | BOYAmt |
| EOY | $126,733,538 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,029,917 | BOYAmt |
| EOY | $146,335,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,538,288 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $10,262 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,885,374 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $809,381 | BeginningYearBalanceAmt |
| Contributions | $30 | ContributionsAmt |
| Investment Earnings Or Losses | $3,323 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $36 | OtherExpendituresAmt |
| End Year Balance | $812,698 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $685,711 | BeginningYearBalanceAmt |
| Contributions | $121,486 | ContributionsAmt |
| Investment Earnings Or Losses | $2,184 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $809,381 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,377 | BeginningYearBalanceAmt |
| Contributions | $570,305 | ContributionsAmt |
| Investment Earnings Or Losses | $29 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $685,711 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,347 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $30 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $115,377 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $114,569 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $778 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $115,347 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.85120 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.14880 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,733,422 | OtherCostOrOtherBasisAmt |
| Book Value | $5,733,422 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $105,863,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,592,163 | DepreciationAmt |
| Book Value | $47,271,284 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $237,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $315,016 | DepreciationAmt |
| Book Value | -$77,449 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,366,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,041,077 | DepreciationAmt |
| Book Value | $18,325,309 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,471,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $372,471 | DepreciationAmt |
| Book Value | $4,098,915 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,351,481 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN CONSOLIDATED | $7,035,255 | F |
| INVESTMENTS IN UNCONSOLIDATED | $4,248,980 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $11,284,235 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY DUE TO/FROM | $5,981,415 |
| OPERATING LEASE ROU ASSETS | $1,687,179 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,668,594 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES | $4,606,049 |
| OPERATING LEASE LIABILITY | $1,789,658 |
| CREDIT BALANCES PATIENT A/R | $639,004 |
| UCC POOL LIABILITY | $483,951 |
| SHORT TERM LIAB-OTHER RESERVE | $445,523 |
| OTHER LIABILITIES | $253,432 |
| GBR LIABILITY | $253,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,470,689 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR SCHOLARSHIPS FOR RESIDENTS OF SOUTHERN MARYLAND PURSUING CAREERS IN THE HEALTHCARE INDUSTRY AND TO FUND THE NEEDS OF THE HOSPITAL. |
| PART X, LINE 2: | FIN 48 FOOTNOTE INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $403,742 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $60,115 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $343,627 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $4,000 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $110,575 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $11,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $35,107 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $403,742 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $60,115 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $343,627 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,000 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $110,575 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $11,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $35,107 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $160,682 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $182,945 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,452,862 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,452,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,452,862 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,452,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,548,008 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,940 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,540,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,286 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $184,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,511,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,232,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,279,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04170 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,359,846 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,240,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,119,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,812,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,240,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,571,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07330 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,190 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,190 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $454,119 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $454,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,806 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $410,655 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $410,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,053,021 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,053,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,100,364 | BadDebtExpenseAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS HOSPITAL OF ST MARYS COUNTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25500 POINT LOOKOUT ROAD | AddressLine1Txt |
| City | LEONARDTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20650 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STMARYSHOSPITALMD.ORG | WebsiteAddressTxt |
| State License | STATE LICENSE NUMBER: 18001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS HOSPITAL OF ST MARYS COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.MEDSTARSTMARYS.ORG/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.MEDSTARSTMARYS.ORG/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.MEDSTARSTMARYS.ORG/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.MEDSTARSTMARYS.ORG/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.MEDSTARSTMARYS.ORG/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST MARYS HOSPITAL OF ST MARYS COUNTY | PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: LORI WERRELLEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: MIMI NOVELLO, M.D.ADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : ALEXIS ZOSSTITLE : DIRECTORNAME OF ORGANIZATION : ST. MARY'S COUNTY DEPT. OF SOCIAL SERVICESNAME : ANNA COTTONTITLE : BOARD CO-CHAIR- LOCAL MANAGEMENT BOARDNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVT./COMMUNITY MEMBERNAME : ASHLEY LAGANATITLE : MATERNAL AND CHILD HEALTHNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : CHRISIE MULCAHEYTITLE : DIRECTORNAME OF ORGANIZATION : HEALTH PARTNERS, INC.NAME : CYNTHIA BROWNTITLE : HUMAN SERVICES DIV. MANAGERNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVERNMENTNAME : DANA WESTTITLE : DIRECTOR OF OPERATIONSNAME OF ORGANIZATION : MEDSTAR MEDICAL GROUPNAME : DENNIS NICHOLSONTITLE : PRESIDENT, EXECUTIVE DIRECTORNAME OF ORGANIZATION : ST. MARY'S HOUSING AUTHORITYNAME : GERARD MCGLOINTITLE : VICE PRESIDENTNAME OF ORGANIZATION : PATHWAYSNAME : GLENN IVESTITLE : BOARD OF TRUSTEESNAME OF ORGANIZATION : ST. MARY'S COLLEGE OF MARYLANDNAME : GREGORY REUSSTITLE : COMMUNITY REPRESENTATIVENAME OF ORGANIZATION : AMERICAN FOUNDATION FOR SUICIDE PREVENTIONNAME : SASHA SEENATHTITLE : CEONAME OF ORGANIZATION : THREE OAKS SHELTERNAME : JACQUELINE HEANEY-WELLSTITLE : DIRECTOR OF THE OFFICE OF COMMUNITY ENGAGEMENT & POLICYNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : JAMES DAMALOUJI, M.D.TITLE : ASSOCIATE MEDICAL DIRECTOR OF MEDICAL AFFAIRSNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : JUANITA BUTLERTITLE : FOOD PANTRY COORDINATORNAME OF ORGANIZATION : GOSPEL TABERNACLE OF PRAYERNAME : JOHN HARTLINETITLE : EXECUTIVE DIRECTORNAME OF ORGANIZATION : TRI-COUNTY COUNCIL OF SOUTHERN MARYLANDNAME : LAURA STEWART-WEBBTITLE : DIRECTOR OF ENGAGEMENT AND SPECIAL PROJECTSNAME OF ORGANIZATION : WALDEN-A PYRAMID HEALTHCARE COMPANYNAME : LORI JENNINGS-HARRISTITLE : DIRECTOR OF AGING AND HUMAN SERVICESNAME OF ORGANIZATION : ST. MARY'S COUNTY GOVERNMENTNAME : LORI WERRELLTITLE : ASST. VICE PRESIDENT OF CARE TRANSFORMATIONNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : LT. KRYSTLE ROSSIGNOLTITLE : BARRACK COMMANDERNAME OF ORGANIZATION : MARYLAND STATE POLICENAME : MEENAKSHI BREWSTER, M.D.TITLE : HEALTH OFFICERNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : MIKE BROWNTITLE : COMMUNITY MEMBERNAME OF ORGANIZATION : COMMUNITY RESIDENTNAME : MIMI NOVELLO, M.D.TITLE : EXECUTIVE SPONSOR CHIEF OPERATING/ MEDICAL OFFICERNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : NATHANIEL SCROGGINSTITLE : PRESIDENTNAME OF ORGANIZATION : MINORITY OUTREACH COALITION MEMBERNAME : RACHEL SOLOMONTITLE : DIVERSITY AND INCLUSION COORDINATORNAME OF ORGANIZATION : PATHWAYS, INC.NAME : RENEE GRUBBS, NPTITLE : WOCN CLINICAL SPECIALISTNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : DR. SCOTT SMITHTITLE : SUPERINTENDENTNAME OF ORGANIZATION : ST. MARY'S COUNTY PUBLIC SCHOOLSNAME : SHANNON HEANEYTITLE : DIRECTOR, CHRONIC DISEASE PREVENTION & CONTROLNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : SHAWN KINGSTONTITLE : DIRECTORNAME OF ORGANIZATION : CALVERT HOUSING AUTHORITYNAME : SIMONE ROSSTITLE : EXECUTIVE DIRECTORNAME OF ORGANIZATION : HOUSING AUTHORITY OF ST. MARY'S COUNTYNAME : SONYA POLLACKTITLE : DIRECTORNAME OF ORGANIZATION : MEDSTAR ST. MARY'S HOSPITALNAME : TAMMY LOEWETITLE : DIRECTOR, BEHAVIORAL HEALTHNAME OF ORGANIZATION : ST. MARY'S COUNTY HEALTH DEPT.NAME : TIMOTHY CAMERONTITLE : SHERIFFNAME OF ORGANIZATION : ST. MARY'S COUNTY SHERIFF'S DEPARTMENT |
| ST MARYS HOSPITAL OF ST MARYS COUNTY | PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE.THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHARITY CARE AT COST | PART I, LINE 7AMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. |
| UNREIMBURSED MEDICAID | PART I, LINE 7BMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. |
| BAD DEBT | PART III, LINES 2 & 4MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE. |
| MEDICARE | PART III, LINE 8MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. |
| PART III, LINE 9B | IF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT. |
| NEEDS ASSESSMENT | PART VI, LINE 2IN FY21, MEDSTAR ST. MARY'S HOSPITAL (MSMH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MSMH'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2021, AND SERVED AS A GUIDE FOR PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024.THE CATEGORIES HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. TWO TO THREE STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. ALL OTHER PROGRAMMING WAS INTEGRATED AS PART OF THE HOSPITAL'S OVERALL COMMUNITY HEALTH PORTFOLIO. THESE ADDITIONAL PROGRAMS WERE CAPTURED IN THE INVENTORY FOR THE WHOLE PICTURE OF CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AS WELL AS SORTED FOR WHAT COUNTS AS COMMUNITY BENEFIT FOR REGULATORY REPORTING.THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS BASED ON THE ADVISORY TASK FORCE (ATF) RECOMMENDATION. THE HOSPITAL IDENTIFIED LEXINGTON PARK AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODE 20653. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE ATF INCLUDED A DIVERSE GROUP OF INDIVIDUALS, INCLUDING HOSPITAL LEADERS, GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT AND BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE AND SERVICES (TRANSPORTATION AND ACCESS TO AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING AND EMPLOYMENT). REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HEALTH HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES. IN FY24, MSMH CONDUCTED A CHNA AND PRODUCED A THREE-YEAR IMPLEMENTATION STRATEGY. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE BY JUNE 30, 2024, AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2025-2027. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL:. TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION.. SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE.. ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE.. BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN THE COMMUNITIES THAT WE SERVE. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:- DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE. - DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE. - DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE. - TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE. - TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS. - USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:. PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.. PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY: . OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES, AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE. . PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS. . DISPLAYING MEDSTAR FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. . TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: . BEFORE DISCHARGE;. WITH THE HOSPITAL BILL; . ON REQUEST; AND . IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. FINAL ELIGIBILITY DETERMINATIONS ARE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. . IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICAL NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT BILLING, AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE AT 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT. |
| COMMUNITY INFORMATION | PART VI, LINE 4THE COMMUNITY THE ORGANIZATION SERVES INCLUDES ZIP CODE 20653. ZIP CODE 20653 IS A RURAL GEOGRAPHIC SERVICE AREA. THERE ARE 24,481 RESIDENTS AND THE MEDIAN HOUSEHOLD INCOME IS $63,676. THE COMMUNITY INCLUDES RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINE (15%), UNINSURED RESIDENTS (7%), AND MEDICAID RECIPIENTS (25%). THERE IS ONE HOSPITAL SERVING THE COMMUNITY AND TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT. BASED ON PATIENT RATIOS, ACCESS TO CARE CONTINUES TO BE A COMMUNITY-WIDE CHALLENGE WITH PRIMARY CARE PROVIDERS (2,440:1), DENTISTS (1,974:1), AND MENTAL HEALTH PROVIDERS (715:1). BEYOND THE DEFICIENCY OF HEALTHCARE RESOURCES, THERE ARE ALSO TRANSPORTATION BARRIERS TO ACCESSING SERVICES. RESIDENTS ARE HINDERED BY A DEFINED BUS ROUTE THAT LACKS ACCESSIBILITY IN TERMS OF COST, LOCATION OR ACCOMMODATION TO MOBILITY LIMITATIONS OR DISABILITIES. FROM AN ECONOMIC PERSPECTIVE, 35% OF SCHOOL-AGED CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-COST LUNCH AND 20% OF CHILDREN ARE FROM SINGLE-PARENT HOMES. HOUSING COSTS ARE ALSO A BURDEN FOR 12% OF THE COMMUNITY, WHO SPEND 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING. ADULT OBESITY IS AN ONGOING HEALTH CHALLENGE IMPACTING MORE THAN ONE-THIRD OF ADULTS (36%) IN THE COUNTY AND 9% HAVE BEEN OFFICIALLY DIAGNOSED WITH DIABETES |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5AS A COMMUNITY PARTNER, MSMH ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL UNDER THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESSEDUCATIONAL PROGRAMS ARE OFFERED WITH THE GOAL OF IMPROVING COMMUNITY HEALTH AND WELL-BEING. FOR EXAMPLE, THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) IS A YEARLONG PROGRAM THAT PROVIDES LIFESTYLE CHANGE EDUCATION FOR RESIDENTS WHO HAVE ELEVATED A1C LEVELS, THOUGH ARE NOT DIAGNOSED WITH TYPE 2 DIABETES. THE PROGRAM IS AIMED AT PREVENTING THE DEVELOPMENT OF TYPE 2 DIABETES THROUGH WEIGHT LOSS, PHYSICAL ACTIVITY AND FOOD TRACKING. THESE LIFESTYLE CHANGES HELP TO FURTHER DELAY THE ONSET OF DIABETES AND OTHER CHRONIC DISEASES. CONVERSATION MAPS, A FREE FOUR-WEEK SELF-MANAGEMENT WORKSHOP, IS OFFERED TO FACILITATE GUIDED DISCUSSIONS ON DIABETES MANAGEMENT, MEDICATIONS, NUTRITION, AND PHYSICAL ACTIVITY. ADDITIONALLY, MSMH CONTINUES TO OFFER TOBACCO CESSATION CLASSES AND THE PARENTS TO BE WORKSHOP, A FULL-DAY PROGRAM THAT OFFERS HEALTH EDUCATION ON INFANT CPR, CHILDBIRTH, BREASTFEEDING BASICS, AND BABY CARE BASICS.SUPPORT GROUPS ARE OFFERED TO COMMUNITY MEMBERS FOR A VARIETY OF TOPICS INCLUDING CANCER, PARKINSON'S DISEASE, BARIATRIC, DIABETES PREVENTION, BREASTFEEDING, AND STROKE. STAFF ALSO SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH INTERVIEWS, SEMINARS, BLOGS, VIDEOS, AS WELL AS DISCUSSIONS OR SCREENINGS AT COMMUNITY HEALTH FAIRS. |
| ACCESS TO CARE | EAST RUN MEDICAL CENTER IS HOME TO A PRIMARY CARE SAFETY-NET DENTAL CLINIC AND A VETERAN'S AFFAIRS CLINIC. THESE SERVICES, ALONG WITH TRANSITIONAL CARE OUTPATIENT NURSES AND COMMUNITY HEALTH ADVOCATES ASSIST IN BRIDGING THE GAPS IN SERVICE THAT OUR MOST VULNERABLE COMMUNITY MEMBERS FACE. THE HOSPITAL ALSO SUBSIDIZES HEALTH SERVICES TO ENSURE RESIDENTS HAVE ACCESS TO THE CLINICAL CARE THEY NEED. THE HOSPITAL PARTNERS WITH THE CENTER FOR LIFE ENRICHMENT TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, TRANSPORTATION IS PROVIDED TO RESIDENTS WITH FINANCIAL NEED. THIS TRANSPORTATION ASSISTANCE ALLOWS RESIDENTS TO ACCESS HEALTH CARE PROVIDERS AND OTHER COMMUNITY-BASED SERVICES, LIKE FOOD BANKS, TO IMPROVE HEALTH OUTCOMES. |
| SOCIAL DETERMINANTS OF HEALTH | THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM IS PROVIDED TO SUPPORT SUBSTANCE ABUSE RECOVERY IN THE COMMUNITY AND PROMOTE ACCESS TO BEHAVIORAL HEALTH PROGRAMS. THIS PROGRAM INCLUDES THREE MAIN COMPONENTS: SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THOSE WHO SCREEN POSITIVE FOR HIGH-RISK BEHAVIORS ARE CONNECTED TO PEER RECOVERY COACHES WHO CONDUCT A BRIEF INTERVENTION AND REFER TO TREATMENT IF APPROPRIATE. OPIOID OVERDOSE SURVIVOR OUTREACH COACHES LINK COMMUNITY MEMBERS WITH A HISTORY OF SUBSTANCE ABUSE TREATMENT WITH THE RESOURCES THEY NEED TO PREVENT A FUTURE OVERDOSE. THIS TEAM WORKS IN COORDINATION WITH OUR COMMUNITY HEALTH WORKERS AS WELL AS TRANSITIONAL CARE NURSES TO SUPPORT COMMUNITY MEMBERS WITH THE RESOURCES NEEDED TO MANAGE THEIR ADDICTIONS AND PROMOTE RECOVERY.COMMUNITY HEALTH WORKERS IMPROVE THE HEALTH OF THEIR COMMUNITIES BY CONNECTING VULNERABLE RESIDENTS TO LOCAL RESOURCES INCLUDING PRIMARY CARE PROVIDERS, HEALTH INSURANCE, AND SOCIAL SERVICES, INCLUDING FOOD ACCESS, TRANSPORTATION, HOUSING, AND UTILITY ASSISTANCE. COMMUNITY HEALTH WORKERS REFER INDIVIDUALS TO RESOURCES THROUGH THE FINDHELP.ORG RESOURCE DATABASE THAT HELPS BRIDGE THE GAP FOR A VARIETY OF NEEDS INCLUDING FINANCIAL RESOURCES, HOUSING, UTILITIES, CHILDCARE, AND FOOD PANTRIES. THE WORKFORCE DEVELOPMENT PROGRAM PROVIDED ROBUST STUDENT INTERNSHIP EXPERIENCES FOR HIGH SCHOOL-LEVEL YOUTH. THIS EIGHT-WEEK SUMMER INTERNSHIP CONNECTED THE COURSE CURRICULUM WITH TANGIBLE ONSITE EXPERIENCE. THIS OFFERED STUDENTS THE ABILITY TO DEVELOP SKILLS WHILE RECEIVING RELEVANT WORK EXPERIENCE IN THE MEDICAL FIELD.SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR ISSUES SUCH AS FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY A COMMUNITY HEALTH WORKER CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER COMMUNITY RESOURCES. THE FINDHELP.ORG ONLINE PLATFORM ALLOWS OUR ASSOCIATES THE ABILITY TO REFER, TRACK, AND MANAGE CONNECTIONS WITH LOCAL NONPROFIT GROUPS AND PUBLIC SERVICE AGENCIES THAT MAY BE ABLE TO AID THOSE REQUIRING SUPPORT. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6MSMH IS PROUDLY PART OF MEDSTAR HEALTH, AND AS A RESULT, IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MSMH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR HEALTH'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7THE COMMUNITY BENEFIT REPORT FOR MSMH IS FILED IN THE STATE OF MARYLAND. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 10 | RecipientCnt |
| Cash Grant | $51,038 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | MONITORING FUNDS | FormAndLineReferenceDesc |
| Explanation | WE HAVE AN EMPLOYEE SCHOLARSHIP ("ES") PROGRAM AT ST. MARY'S HOSPITAL. THE EMPLOYEE SCHOLARSHIPS UNDERGO A THOROUGH REVIEW AND APPROVAL PHASE DEPENDENT UPON PROPER SUBMISSIONS BY THE REQUESTING RECIPIENT. ANY CHANGES TO THE ES PROGRAM MUST GO THROUGH THE PRESIDENT'S OFFICE FOR APPROVAL. ALL APPLICANTS WILL BE ASSIGNED A HRD ASSOCIATE THAT WILL RECEIVE AND STAMP APPLICATIONS WHEN RECEIVED. ALL APPLICANTS WILL BE INTERVIEWED BY HRD DEPARTMENT LEADER OF THE NURSING RECRUITER/HR GENERALIST FOR REVIEW OF THE APPLICATION AND AGREEMENT EXPECTATIONS. APPLICANTS MAY BE INTERVIEWED IF NEEDED BY THE SELECTION COMMITTEE. WITHIN 10 DAYS APPLICANT IS NOTIFIED IN WRITING OF SCHOLARSHIP DECISION AND THE HRD ASSOCIATE WILL REVIEW WITH EACH RECIPIENT THE REQUIREMENTS OF THE PROGRAM. ALL INVOICES WILL BE REVIEWED FOR REQUIRED INFORMATION AND VERIFICATION BEFORE PROCESSING, THE PAYMENT IS REQUESTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH A SAMET | ||||||||||||||
| DIRECTOR | $0 | $2,308,151 | $0 | $3,403,165 | $0 | $1,372,432 | $0 | $68,539 | $0 | $37,548 | $0 | $7,189,835 | $0 | $0 |
| STEPHEN MICHAELS MD | ||||||||||||||
| FORMER SECRETARY | $0 | $579,655 | $0 | $450,662 | $0 | $0 | $0 | $9,150 | $0 | $19,358 | $0 | $1,058,825 | $0 | $0 |
| MIMI NOVELLO MD | ||||||||||||||
| PRESIDENT/DIRECTOR | $538,066 | $0 | $417,172 | $0 | $0 | $0 | $9,150 | $0 | $2,371 | $0 | $966,759 | $0 | $0 | $0 |
| ANNE BANFIELD | ||||||||||||||
| DIRECTOR | $461,596 | $0 | $135,799 | $0 | $111,562 | $0 | $0 | $0 | $9,362 | $0 | $718,319 | $0 | $0 | $0 |
| JOHN HARVEY MD | ||||||||||||||
| DIRECTOR | $419,866 | $0 | $212,811 | $0 | $0 | $0 | $9,150 | $0 | $23,040 | $0 | $664,867 | $0 | $0 | $0 |
| YAHIA TAGOURI MD | ||||||||||||||
| DIRECTOR | $417,587 | $0 | $111,731 | $0 | $0 | $0 | $9,150 | $0 | $20,821 | $0 | $559,289 | $0 | $0 | $0 |
| ANNA CHOI MD | ||||||||||||||
| DIRECTOR (UNTIL 10/2023) | $489,695 | $0 | $42,000 | $0 | $0 | $0 | $9,150 | $0 | $18,245 | $0 | $559,090 | $0 | $0 | $0 |
| TARA SAGGAR MD | ||||||||||||||
| DIRECTOR | $360,039 | $0 | $91,559 | $0 | $25,000 | $0 | $9,150 | $0 | $23,580 | $0 | $509,328 | $0 | $0 | $0 |
| DAVID HAVRILLLA | ||||||||||||||
| FORMER CFO | $0 | $294,810 | $0 | $130,187 | $0 | $0 | $0 | $9,150 | $0 | $18,500 | $0 | $452,647 | $0 | $0 |
| MICHAEL MEISEL | ||||||||||||||
| CFO/TREASURER (UNTIL 08/2023) | $0 | $307,987 | $0 | $105,892 | $0 | $0 | $0 | $9,150 | $0 | $21,102 | $0 | $444,131 | $0 | $0 |
| JAMES DAMALOUJI MD | ||||||||||||||
| DIRECTOR | $403,708 | $0 | $0 | $0 | $0 | $0 | $2,750 | $0 | $22,723 | $0 | $429,181 | $0 | $0 | $0 |
| DANIEL FEELEY | ||||||||||||||
| FORMER CFO | $0 | $294,324 | $0 | $60,093 | $0 | $0 | $0 | $9,129 | $0 | $23,236 | $0 | $386,782 | $0 | $0 |
| PURVI JANI | ||||||||||||||
| CFO/TREASURER | $0 | $320,315 | $0 | $0 | $0 | $0 | $0 | $8,956 | $0 | $10,013 | $0 | $339,284 | $0 | $0 |
| ANNETTE BRONER | ||||||||||||||
| SECRETARY | $0 | $241,602 | $0 | $55,746 | $0 | $0 | $0 | $8,573 | $0 | $22,675 | $0 | $328,596 | $0 | $0 |
| JOHN GREELY | ||||||||||||||
| VP OF OPERATIONS | $231,794 | $0 | $56,760 | $0 | $0 | $0 | $8,484 | $0 | $22,999 | $0 | $320,037 | $0 | $0 | $0 |
| DAWN YEITRAKIS | ||||||||||||||
| CNO | $238,358 | $0 | $48,947 | $0 | $0 | $0 | $1,300 | $0 | $18,217 | $0 | $306,822 | $0 | $0 | $0 |
| HEATHER SWAN-JONES | ||||||||||||||
| REGISTERED NURSE | $240,575 | $0 | $0 | $0 | $0 | $0 | $9,150 | $0 | $15,626 | $0 | $265,351 | $0 | $0 | $0 |
| MARY IBEGBU | ||||||||||||||
| DIRECTOR OF PHARMACY | $226,616 | $0 | $0 | $0 | $0 | $0 | $5,772 | $0 | $17,928 | $0 | $250,316 | $0 | $0 | $0 |
| LORI WERRELL | ||||||||||||||
| AVP, CARE TRANSFORMATION | $189,142 | $0 | $33,502 | $0 | $0 | $0 | $6,071 | $0 | $1,449 | $0 | $230,164 | $0 | $0 | $0 |
| ROBERT LALLY | ||||||||||||||
| FORMER CFO | $0 | $9,348 | $0 | $0 | $0 | $204,382 | $0 | $0 | $0 | $0 | $0 | $213,730 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III: | FormAndLineReferenceDesc |
| Explanation | DETAILED BELOW ARE SEVERAL ONE-TIME PAYMENTS TO CERTAIN EXECUTIVES RELATED TO VARIOUS RETIREMENT, RETENTION AND LONG-TERM INCENTIVE PLANS. THESE PLANS AND PAYMENTS ARE NOT A ROUTINE PART OF THE TYPICAL MEDSTAR EXECUTIVE COMPENSATION PROGRAM, AND SUPPORTED IMPORTANT OBJECTIVES OF OUR ORGANIZATION. MR. SAMET'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES A PAYMENT OF $1,372,432, WHICH REPRESENTS THE CASH VALUE OF THE SPLIT DOLLAR LIFE INSURANCE POLICY ASSIGNED TO MR. SAMET. ANNE BANFIELD'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $40,000 REPRESENTING RETENTION BONUS PAYMENTS RECEIVED BY DR. BANFIELD. MICHAEL MEISEL'S COMPENSATION IS FOR SERVICES PROVIDED AS CFO TO BOTH MEDSTAR ST. MARY'S HOSPITAL AND MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER. ROBERT LALLY'S COMPENSATION IS FOR SERVICES PREVIOUSLY PROVIDED AS CFO TO MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, MEDSTAR HARBOR HOSPITAL, MEDSTAR ST. MARY'S HOSPITAL, AND MEDSTAR SOUTHERN MARYLAND HOSPITAL. ROBERT LALLY'S OTHER REPORTABLE COMPENSATION IN PART II, COLUMN (B)(III) INCLUDES $204,382 REPRESENTING SEVERANCE PAYMENTS RECEIVED BY MR. LALLY. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CMI GENERAL CONTRACTORS INC | |||
| SEE PART V | $270,556 | CONSTRUCTION | 0 |
| MARYLAND HOSPITAL ASSOCIATION | |||
| SEE PART V | $101,569 | MEMBERSHIP DUES | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART IVTHE FOLLOWING IS A SUBSTANTIAL CONTRIBUTOR (IN EXCESS OF $5,000) THATALSO PROVIDED SERVICES TO MEDSTAR ST. MARY'S HOSPITAL VALUED IN EXCESSOF $100,000: CMI GENERAL CONTRACTORS, INC. AND MARYLAND HOSPITAL ASSOCIATION. PER MEDSTAR'S CONFLICT OF INTEREST POLICY, THESE TRANSACTIONS ARE AT ARMS-LENGTH FOR FAIR MARKET VALUE. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Miscellaneous SecuritiesMiscellaneousGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $28,076 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B). | FormAndLineReferenceDesc |
| Explanation | THIS COLUMN IS REPORTING THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ORGANIZATION MEMBERS THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | DESCRIPTION OF MEMBERS AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF GOVERNING BODY AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS FOR REVIEWING FORM 990 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION PROCESS THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENT AVAILABILITY MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES. |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 19,067,865. MANAGEMENT AND GENERAL EXPENSES 3,032,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,100,301. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS 3,933,934. MINIMUM PENSION LIABILITY ADJUSTMENT 2,951,440. |
| PART XII, LINE 2 | ST. MARYS HOSPITAL OF ST. MARYS COUNTY INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHURCH HOME CORPORATION | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 237374724 | MEDICAL FUND | MD | 501(C)(3) | PF | N/A | 0 |
| FRANKLIN SQUARE HOSPITAL CENTER INC | ||||||||||
| 9000 FRANKLIN SQUARE DRIVE | BALTIMORE | MD | 21237 | 520608007 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| HARBOR HOSPITAL INC | ||||||||||
| 3001 SOUTH HANOVER STREET | BALTIMORE | MD | 21225 | 520491660 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 522087445 | MEDICAL SVCS | MD | 501(C)(3) | LINE 12C, III-FI | N/A | 0 |
| MONTGOMERY GENERAL HOSPITAL | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 520646893 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 520591607 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| THE UNION MEMORIAL HOSPITAL | ||||||||||
| 201 EAST UNIVERSITY PARKWAY | BALTIMORE | MD | 21218 | 520591685 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| MEDSTAR HEALTH RESEARCH INSTITUTE | ||||||||||
| 108 IRVING STREET NW | WASHINGTON | DC | 20010 | 526056274 | HOSPITAL | DC | 501(C)(3) | LINE 4 | N/A | 0 |
| THE MEDSTAR-GEORGETOWN MEDICAL CENTER I | ||||||||||
| HOPSITAL ADMIN 1 MAIN BLDG | WASHINGTON | DC | 20007 | 522218584 | HOSPITAL | DC | 501(C)(3) | LINE 3 | N/A | 0 |
| WASHINGTON HOSPITAL CENTER CORPORATION | ||||||||||
| 110 IRVING STREET NW | WASHINGTON | DC | 20010 | 521272129 | HOSPITAL | DC | 501(C)(3) | LINE 3 | N/A | 0 |
| HH MEDSTAR HEALTH INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521542230 | MEDICAL SVCS | MD | 501(C)(3) | LINE 12C, III-FI | N/A | 0 |
| MEDSTAR AMBULATORY SERVICES INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521132992 | ADMIN SVCS | MD | 501(C)(3) | LINE 12C, III-FI | N/A | 0 |
| BAY LIFE SERVICES INC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521496539 | MENTAL HEALTH | MD | 501(C)(3) | LINE 10 | N/A | 0 |
| CHURCH HOME AND HOSPITAL OF THE CITY OF | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 520591600 | MEDICAL FUND | MD | 501(C)(3) | LINE 12B, II | N/A | 0 |
| GOOD SAMARITAN NURSING CENTER INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521672866 | MEDICAL SVCS | MD | 501(C)(3) | LINE 10 | N/A | 0 |
| GS HOUSING INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521481656 | ELDER HOUSING | MD | 501(C)(3) | LINE 10 | N/A | 0 |
| GS PROPERTIES INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 521429853 | ADMIN SVCS | MD | 501(C)(3) | LINE 12A, I | N/A | 0 |
| MEDSTAR HEALTH VISITING NURSES ASSOCIATI | ||||||||||
| 4061 POWDERMILL ROAD | CALVERTON | MD | 20705 | 530196597 | MEDICAL SVCS | MD | 501(C)(3) | LINE 10 | N/A | 0 |
| MEDSTAR VNA HEALTHCARE | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521458516 | MEDICAL SVCS | MD | 501(C)(3) | LINE 10 | N/A | 0 |
| MGH WOMEN'S BOARD | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 526039600 | FOUNDATION | MD | 501(C)(3) | LINE 12C, III-FI | N/A | 0 |
| NATIONAL REHABILITATION HOSPITAL | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521369749 | HOSPITAL | DC | 501(C)(3) | LINE 3 | N/A | 0 |
| NRH REGIONAL REHAB AT OLNEY INC | ||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 522310902 | MEDICAL SVCS | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| SUBURBAN NRH MEDICAL REHABILITATION I | ||||||||||
| 102 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931151 | MEDICAL SVCS | DC | 501(C)(3) | LINE 3 | N/A | 0 |
| VNA INC | ||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521332411 | ADMIN SVCS | MD | 501(C)(3) | LINE 12B, II | N/A | 0 |
| WOODBOURNE WOODS INC | ||||||||||
| 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 522299070 | ELDER HOUSING | MD | 501(C)(3) | LINE 10 | N/A | 0 |
| HOSPICE OF ST MARY'S INC | ||||||||||
| PO BOX 527 | LEONARDTOWN | MD | 20650 | 522153926 | SUPPORT ORG | MD | 501(C)(3) | LINE 12A, I | N/A | 0 |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER INC | ||||||||||
| 7503 SURRATTS ROAD | CLINTON | MD | 20735 | 460726303 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR SHAH MSO LLC | ||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 462700536 | MGMT SVCS | MD | N/A | N/A | 0 | 0 |
| 22590 SHADY COURT LLC | ||||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473361777 | REAL ESTATE | MD | N/A | N/A | 0 | 0 |
| 24035 THREE NOTCH ROAD LLC | ||||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473375076 | REAL ESTATE | MD | N/A | N/A | 0 | 0 |
| 37767 MARKET DRIVE LLC | ||||||||||
| 37767 MARKET DRIVE | CHARLOTTE HALL | MD | 20622 | REAL ESTATE | MD | N/A | N/A | 0 | 0 | |
| 26840 POINT LOOKOUT ROAD LLC | ||||||||||
| 24035 THREE NOTCH ROAD | HOLLYWOOD | MD | 20636 | 473393670 | REAL ESTATE | MD | N/A | N/A | 0 | 0 |
| MONTGOMERY COMMUNITY MRI LP | ||||||||||
| 4110 ASPEN HILL ROAD | ROCKVILLE | MD | 20853 | 521534253 | MRI SCREENING | MD | N/A | N/A | 0 | 0 |
| PHYSIOTHERAPY ASSOCIATES NRH REHAB LLC | ||||||||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 522212036 | PHYSIOTHERAPY | PA | N/A | N/A | 0 | 0 |
| PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC | ||||||||||
| 840 CRESCENT CENTRE DR | FRANKLIN | TN | 37067 | 562616090 | RADIOLOGY SVC | TN | N/A | N/A | 0 | 0 |
| FRANKLIN IMAGING LLC | ||||||||||
| 7253 AMBASSADOR RD | BALTIMORE | MD | 21244 | 521588688 | IMAGING | MD | N/A | N/A | 0 | 0 |
| 10 ST PATRICK'S DRIVE LLC | ||||||||||
| 10 ST PATRICKS DRIVE | WALDORF | MD | 20603 | 832261766 | REAL ESTATE | MD | N/A | N/A | 0 | 0 |
| MEDSTAR ENDOSCOPY CTR AT LUTHERVILLELLC | ||||||||||
| 1300 BELLONA AVE | LUTHERVILLE | MD | 21093 | 823193901 | SURGERY | MD | N/A | N/A | 0 | 0 |
| CAPITAL ENDOSCOPY LLC | ||||||||||
| 6475 NEW HAMPSHIRE AVE | HYATTSVILLE | MD | 20783 | 134244093 | SURGERY | MD | N/A | N/A | 0 | 0 |
| 4240 ALTAMONT PLACE LLC | ||||||||||
| 103 CENTENNIAL STREET SUITE K | LA PLATA | MD | 20646 | 861202310 | REAL ESTATE | MD | N/A | N/A | 0 | 0 |
| MEDSTAR ENDOSCOPY CENTER-SILVER SPRING LLC | ||||||||||
| 12002 VEIRS MILL ROAD | SILVER SPRING | MD | 20906 | 872341245 | SURGERY | MD | N/A | N/A | 0 | 0 |
| MEDSTAR SURGERY CENTER 1 LLC | ||||||||||
| 810 BESTGATE ROAD SUITE 300 | ANNAPOLIS | MD | 21401 | 922094391 | SURGERY | MD | N/A | N/A | 0 | 0 |
| MEDSTAR SURGERY CENTER AT BRANDYWINE LLC | ||||||||||
| 13950 BRANDYWINE ROAD | BRANDYWINE | MD | 20613 | 820985178 | SURGERY | MD | N/A | N/A | 0 | 0 |
| MEDSTAR SURGERY CENTER AT TIMONIUM LLC | ||||||||||
| 2118 GREENSPRING DRIVE STE 300 | TIMONIUM | MD | 21093 | 821874292 | SURGERY | MD | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDSTAR PHARMACIES | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521513056 | DRUG SALES | MD | N/A | C | 0 | ||||||
| EXTENCARE INC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521556228 | MEDICAL SVCS | MD | N/A | C | 0 | ||||||
| HELIX RESOURCES MANAGEMENT INC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521913070 | ADMIN SVCS | MD | N/A | C | 0 | ||||||
| HELIXCARE PROPERTIES LLC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521966695 | MEDICAL SVCS | MD | N/A | C | 0 | ||||||
| PARKWAY VENTURES INC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521893569 | HOLDING CO. | MD | N/A | C | 0 | ||||||
| PHYSICIANS ADMINISTRATIVE SERVICES INC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 237042074 | BILLING SVCS | MD | N/A | C | 0 | ||||||
| MEDSTAR FAMILY CHOICE INC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 521995521 | MANAGED CARE | MD | N/A | C | 0 | ||||||
| MEDSTAR ENTERPRISES INC | |||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522139841 | ADMIN SERVICE | MD | N/A | C | 0 | ||||||
| SITEL INC | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 900753340 | EDUCATIONAL | MD | N/A | C | 0 | ||||||
| STAR BILLING INC | |||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 521850113 | BILLING SVCS | MD | N/A | C | 0 | ||||||
| WASHINGTON RISK NETWORK MANAGEMENT INC | |||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522132677 | MEDICAL SVCS | MD | N/A | C | 0 | ||||||
| WASHINGTON HOSPITAL CENTER PHYSICIAN HOS | |||||||||||||||
| 100 IRVING STREET NW | WASHINGTON | DC | 20010 | 521931000 | MEDICAL SVCS | DC | N/A | C | 0 | ||||||
| MEDSTAR PHYSICIAN PARTNERS INC | |||||||||||||||
| 4061 POWDERMILL ROAD SUITE 210 | CALVERTON | MD | 20705 | 522030809 | MEDICAL SVCS | MD | N/A | C | 0 | ||||||
| FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA | |||||||||||||||
| 10980 GRANTCHESTER WAY | COLUMBIA | MD | 21044 | 760756352 | CONDOMINIUMS | MD | N/A | C | 0 | ||||||
| MGH DIVERSIFIED SERVICES INC | |||||||||||||||
| 18101 PRINCE PHILIP DRIVE | OLNEY | MD | 20832 | 521943602 | MEDICAL SVCS | MD | N/A | C | 0 | ||||||
| ST MARY'S HEALTH ALLIANCE INC | |||||||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 521930331 | MEDICAL SVCS | MD | N/A | C | Yes (1) | 1.00000 | |||||
| GREENSPRING FINANCIAL INSURANCE LIMITED | |||||||||||||||
| 980188617 | INSURANCE | N/A | C | 0 | 878 WEST BAY RD PO BOX 1159 | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| ST MARY'S CONDO ASSOCIATION | |||||||||||||||
| 25500 POINT LOOKOUT ROAD | LEONARDTOWN | MD | 20650 | 273377216 | CONDOMINIUMS | MD | N/A | C | 0 | ||||||
| MEDSTAR HEALTH INC - INVESTMENT FUND I | |||||||||||||||
| 981310273 | INVESTMENTS | N/A | C | 0 | 103 SOUTH CHURCH ST | GRAND CAYMAN | CJ | CJ KY1-100 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF ST MARY'S INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $124,568 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |